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Organization

EHSOC, INC

Active
Other names
EyeCare of CNY
Organization subpart
No

Provider details

NPI number
Authorized official
KIM BODINE (BILLING MANAGER)
(716) 993-1200
Entity
Organization

Contact information

Practice address
2730 ROUTE, 12B, HAMILTON, NY 13346-2113
(315) 824-3453
(315) 824-4301
Mailing address
2901 COURT STREET, SYRACUSE, NY 13208-3217
(315) 455-8933
(315) 455-8934

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332H00000X
Eyewear Supplier
3797-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00600977
NY
05
56480A
NY
Enumeration date
02/27/2008
Last updated
07/29/2024
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